在没有关系连续性的情况下,影响连接,连续的初级保健体验的因素:一项观察性研究
Patrick Burch1, William Whittaker2, Peter Bower1
1Centre for Primary Care and Health Services Research, University of Manchester, Manchester.
当患者看不熟悉的临床医生时,护理的连续性受到挑战. 除了临床记录之外的因素,包括员工态度和组织稳定性,显著影响患者护理协调和经验.
科学领域:
- 初级保健研究研究初级保健研究
- 医疗保健服务研究 医疗服务研究
- 患者体验 患者体验
背景情况:
- 不熟悉的临床医生大规模提供初级保健的趋势越来越大.
- 假设访问临床笔记可以确保持续的护理,而没有关系的连续性.
研究的目的:
- 为了调查影响联合,在常规患者实践之外提供持续护理的因素.
- 了解在不同组织和员工之间提供综合护理的挑战.
主要方法:
- 在英格兰北部的两个扩展接入初级保健站点进行案例研究.
- 通过观察,工作人员/患者采访和文档分析收集数据 (2021年9月-2022年1月).
- 使用常量比较和模型构建进行分析.
主要成果:
- 联合,持续的护理取决于工作人员,患者和系统层面的因素.
- 临床医生对护理协调和组织人员保留的态度至关重要.
- 简单地访问临床笔记不足以确保护理的连续性.
结论:
- 假设任何临床医生可以通过访问笔记提供持续护理是有缺陷的.
- 已经开发了一个影响患者连续性体验的因素模型.
- 需要在标准的一般实践和其他医疗保健环境中进一步验证该模型.
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